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<br />,oXAS DEPAR,~ENT GF HEALTH CON7PACT <br />1100 Wes" 49t~ 3t~eet <br />Austin, ,exas 78i~o-3199 <br /> <br />STATE OF T:XAS <br />COUNTY CF TRAVIS <br /> <br />TDH Do:ument No. C300C033 <br /> <br />This contract is bet~een the Texas Department of Health, hereinafter referred to <br />as RECEIVING AGENCY, and the party listed below as PERFORHING AGENCY and <br />includes oeneral pr:visions anc attachments detailing scope(sj of work and <br />special provisions. <br /> <br />. , <br />i PERFORMING AGENCY: CITY OF PARIS POLICE DEPART~ENT : <br />1_____________________________________________________________________________________1 <br />,-------------------------------------------------------------------------------------, <br />i (PRINT or TYPE) : <br />Mailing Address: 811 Bonham Street Paris TX 75460 0000: <br />lClty) (st) lZlP) I <br />Street Add ress: SAME , <br />, lLT dltTerent) ll,;lty) (st) lL1PJ : <br />1______-----------------------------------------------________________________________1 <br />1-------------------------------------------------------------------------------------, <br /> <br />I Authori zed . 1 <br />! Contracting Entity: CITY OF PARIS, PAR~~. TEXAS : <br />' (IT dlTterent Trom Kru~MlNG AG~N~Y) <br />1_____________________________________________________________________________________1 <br />,-------------------------------------------------------------------------------------, <br />I Payee Name: CITY OF PARIS , <br />: lMust matco Wlth vendor lden"lTlca"lon numoer snown oelow) l <br />: Payee Address: P. O. BOX 9037 PARIS TX 75461-9037/ <br />, lMust match ~lth vendor ldentlflcatlon number shown Eelow) I <br />: State of Texas Vendor Identification No. (14 digits): 17560006359000 : <br />: Finance Officer/Contact: W. E. Anderson : <br />, Director or ~ ~nance , <br />I Type of Organization: GOVT ENTY CITY 1 <br />: Designate: Elementary/secondary SChOOl, Junlor college, senlor col lege/unlverslty : <br />I City. county, other political subdivision, council of governments, jUdicial J <br />1 di$trict, community services program, indlvidual, or other (define) 1 <br />: Is this a small business No (Yes/No) and/or minoritY/~oman owned No (Yes/No) l <br />, Is this a non-profit business Yes (Yes/No) ---, <br />: PAYEE AGENCY Fiscal Year Ending Month: C::F1>'fFMRF'R : <br />1-----------------------------------------------------________________________________, <br />,-------------------------------------------------------------------------------------, <br /> <br />) SUMMARY OF TRANSACTION: : <br /> <br />I I <br /> <br />: Contract for public health services. : <br /> <br />I I <br />I I <br />I , <br />I I <br />I I <br />, I <br /> <br />COVER - Page 1 <br /> <br />EXHIBIT A <br />